Drug_Free_Workplace_Certification_Form.pdf
PDF 96 KB Posted
- Attached to
- School Operational Supplies - Stock
- Solicitation number
- 047-RW-0626
- Issued by
- Polk County, Florida
About this file
This is a Drug-Free Workplace Certification Form related to a school operational supplies procurement contract for The School Board of Polk County in Florida. The form serves as a compliance document that bidders must complete and submit as part of their proposal for the one-year contract to supply school operational supplies to the Polk County warehouse in Bartow, Florida. The certification form requires bidders to attest to their compliance with federal drug-free workplace requirements under the Drug-Free Workplace Act of 1988, confirming that they maintain a drug-free workplace policy and will implement appropriate safeguards to prevent drug use among employees and contractors performing work under the contract.
The form typically includes sections for the bidder's company name, address, and contact information, along with statements certifying that the organization has established a drug-free workplace program, maintains a written policy prohibiting unlawful drug use, and will provide required notices to employees. Completion and submission of this certification form is mandatory for bid eligibility and represents a federal compliance requirement for any contract involving federal funding or federal contract work. Failure to provide the signed certification may result in bid rejection or contract termination.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Drug-Free Workplace Certification Form
In accordance with Florida Statute 287.087, preference shall be given to businesses with drug free workplace programs. Whenever two or more bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process.
Established procedures for processing tie bids will be followed if none of the tied vendors have a drug-free workplace program. In order to have a drug-free program, a business shall:
1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.
2) Inform employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.
3) Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1).
4) In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee’s community, by any employee who is so convicted.
6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
Respondent’s signature
Respondent’s printed name
File details come from the government source that posted it. Updated .